11. In young children a hydrocele is often associated with a complete congenital type of hernial sac. 12. Sclerotherapy, the injection of a solution following aspiration of the hydrocele fluid may increase success rates. 13. Most hydroceles appearing in the first year of life seldom require treatment as they resolve without treatment. 14. Hanaoka successfully operated for hydrocele , anal fistula, and even performed certain kinds of plastic surgery. 15. Great care must be taken to differentiate a hydrocele from a scrotal hernia or tumor of the testicle. 16. He also donates large sums from the meager store income to treat the Swamiji's hydrocele condition. 17. Another effect is hydrocele , which is swelling of the scrotum up to a debilitating weight of dozens of pounds. 18. The most common presentation of Milroy Disease is bilateral lower extremity lymphedema, and may also be accompanied by hydrocele . 19. Polyorchidism can also occur in conjunction with infertility, inguinal hernia, testicular torsion, epididymitis, hydrocele testis and varicocele. 20. A hydrocele cannot be reduced into the inguinal canal and gives no impulse on coughing unless a hernia is also present.